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APPLICATION FOR CERTIFICATE OF AUTHORITY AND AFFIDAVIT (PURSUANT TO NRS CHAPTER 711). This form is used in Nevada, Office of the Secretary of State, and it pertains to obtaining a certificate of authority for providing video services. The application requires the applicant to provide information such as their name, service areas, principal place of business, fees, names of principal executive officers or general partners, and certifications of compliance with relevant laws and regulations. The applicant's signature must be notarized. www.FormsWorkflow.com